Carboplatin dosing in obese patients
1) Carboplatin dosing at the centre used Calvert's formula for calculating AUC and Cockcroft-Gault's formula for estimating glomerular filtration rate. 2) Cockcroft-Gault's formula employed actual body weight and ideal adjusted body weight in similar proportions. 3) The ideal adjusted body weight was more commonly used in patients with higher obesity and diabetes. 4) In the general population, the developmental trend of toxicity during treatment was greater in the group dosed by actual body weight, reaching significant differences in thrombopenia, neutropenia, GOT elevation, hyporexia and myalgias. 5) Major diagnoses in the present study were ovarian cancer and non-small cell lung cancer. The effectiveness in terms of overall survival and progression-free survival, comparing the groups dosed by actual body weight and ideal adjusted body weight within each pathology did not show statistically significant differences.
Authors
- Raquel Olmos-Jiménez
- Alberto Espuny-Miró
- Cristina Ramírez-Roig (ORCID: https://orcid.org/0000-0001-7140-3067)
- María Sacramento Díaz-Carrasco (ORCID: https://orcid.org/0000-0002-9903-6665)
Institutions
- Hospital Universitario Virgen de la Arrixaca (ES)
Publication Details
- Journal
- Journal of Oncology Pharmacy Practice
- Published
- 2024-11-04
- DOI
- https://doi.org/10.1177/10781552241292503
- Primary Topic
- Chemotherapy-induced organ toxicity mitigation
- Type
- article
- Field-Weighted Citation Impact
- 0.00